Provider Demographics
NPI:1902350796
Name:MOLDOVAN FRIEDMAN, JAIME LEA (PSYD)
Entity type:Individual
Prefix:DR
First Name:JAIME
Middle Name:LEA
Last Name:MOLDOVAN FRIEDMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1840 COUNTY LINE RD
Mailing Address - Street 2:SUITE 212
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-1717
Mailing Address - Country:US
Mailing Address - Phone:267-388-0670
Mailing Address - Fax:
Practice Address - Street 1:1840 COUNTY LINE RD
Practice Address - Street 2:SUITE 212
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-1717
Practice Address - Country:US
Practice Address - Phone:267-388-0670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-09
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017395103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist